Organization
DRAKE'S MOBILE HEALTH SERVICES.LLC
Active
Parent organization
DRAKE'S MOBILE HEALTH SERVICES.LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRAKE'S MOBILE HEALTH SERVICES.LLC
Authorized official
SHAKEISHA JARVIS-DRAKE NP (NURSE PRACTITIONER)
(410) 805-3781
Entity
Organization
Contact information
Practice address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(410) 805-3781
Mailing address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(410) 805-3781
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366800211
NPPES
MD
Enumeration date
06/15/2023
Last updated
09/09/2024
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